Provider Demographics
NPI:1396201653
Name:HURLEY, MEAGHAN ISABELLE
Entity Type:Individual
Prefix:
First Name:MEAGHAN
Middle Name:ISABELLE
Last Name:HURLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-1858
Mailing Address - Country:US
Mailing Address - Phone:845-661-4059
Mailing Address - Fax:
Practice Address - Street 1:82 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965-1858
Practice Address - Country:US
Practice Address - Phone:845-661-4059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-12
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency